State Operations Manual (Pub. 100-07), Ch. 4 § 4151
RO Program Analysis Activity
4151 -RO Program Analysis Activity
(Rev. 1, 05-21-04)
Program analysis may be focused in the following areas:
4151A - Analysis of Administrative Factors
(Rev. 1, 05-21-04)
Analyze administrative data. This data includes (but is not limited to):
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Level of expenditures;
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Number of surveyors;
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Surveyor turnover rates;
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Number of providers;
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Time and effort statistics; and
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OSCAR reports.
The manipulation of this data may lead to the identification of the causes of performance
problems, or help explain differences in survey-related costs.
4151B - Analysis of SA Reviews
(Rev. 1, 05-21-04)
The major focus of analysis of SA evaluations concerns areas where a State shows
persistent substandard performance. This may not be evident through periodic reviews,
since the reviews do not encompass the same functions. A focus on the results of each
area may impact other areas. For example, a high surveyor turnover rate will be evident
in financial data (increased training costs) and in 670 data (increased survey completion
time). The important element is that several areas of data can be used to demonstrate and
support a request for SA corrective action.
SA reviews should also be studied to each other (State-to-State) to determine common
areas of success as well as difficulty. These areas should be clearly delineated since
difficulties common to most States represent areas where major programmatic efforts
should be made to improve program processes.
4151C - Analysis of Individual Special Programs
(Rev. 1, 05-21-04)
The special program or innovation must be directly evaluated. The approach must be one
that studies interrelationships among the agency’s components. The analysis should
determine what work the agency produces, how well and quickly it’s produced, and its
cost. These considerations must also be studied to determine effects in each area. For
example, a program aimed at cost-reduction through a decrease in survey team size may
show a trend toward the citing of fewer deficiencies. The results of any analysis should
be discussed with the SA with the common goal of improving the quality of survey and
certification activities.